HomeMy WebLinkAboutBldg Permit 05-0116
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and sign at bottom)
ADDRESS
t.)-3 _~ A' C t"l1fc.,j/l/ ~ /
S'
/.
LEGAL DESCRIPTION (office use only)
I. White
2 Pink
3 Yel\ow
File
City
Applicant
I PERMIT NO. 05. 0 II (0
.5't.
LOT I BLOCK
I ADDITION (jIJIeV 1'1/f1StJN /IV/JtJ.
PIDA 3[3Q. 001.0
~'::~R 4rr' f:'~5~ dC'II/err- C ~Pi~tLkJ
(Address)
(Phone)
BUILDER
(Company Name)
(Contact Name)
(Address)
'/
he C (:$ r
ka. dJJ{,
/
&~ , Jj~ ,- J- (~d>> ';.0 cn"l{ h c/J
G"""li6.7 hl1v.r.l fle7&r1"'{7/i
(Phone)
(Phone)
t6 /.2)
(6 ,':.2.)
Date Rec' d
1.27, oS
ZONING (office use)
,e/
c-tL.4 ~Y5"~
~2 . 2.... <I'U'
TYPE OF WORK ~New Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
Cl'Addition OAlteration OUtility Connection 0 Misc.
I hereby certifY that I have htrmshed information on this application which is to the best of my knowledge true and correct. I also certifY that I am the owner or authorized agent for the
above-menttoned property and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
official can revoke t . permit~for Just cause F;~1~0~e, I_he:. agree that the city official or a designee may ente/r UP~h~operty to perform needed, I:pe~()ns. /..
X . ~V' ~?3.<; I 7 -.,.L /.;.1:./ ~/ 0 \I'
u'/ Signature Contractor's License No. / Dare .
,/
</(/7.5. tJOOr Of)
$ 149/. ~o
$ . q~q, L/S?
$ . ? (., , 5""0
$
$
$
$
$
CODE: ~.R.C. DI.B.C.
Type of&struction:
Occupancy Group: A B
Division:
II
F
1
III IV V A
HIM R
2 3 4 5
I
E
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
Penalty
Plumbing Permit Fee
.If) f) , 0 D
/{Jo,oe>
3 5"'. ~ 0
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
;CB'~dm';3'i.:;pro."
Buildlllg Ollicial ' , Dale
B
S U
PROJECT COST /V ALUE $
(excluding land)
/15; 000
$ ~,o-o
$ JlISo, () 0
$ 2.'50.00
$ 5"'0. 0 0
$ /5tJ~. ~ 0
$ 1/)00, t)?J
$ ISt)(J.fJeJ
$
$ Qi...5 BZ. 18
,
. ,
t/f?tJ(""CI
,
ThiS IS to certifY that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when ned by the City Planner conSl1tutes a temporary Certificate of Zoning compliance and allows construction to commence. Before llceupaney. a Certificate of Occupancy must be
iss ~ ~~ d!ltJjdS M ~ ~
Planninfl Director ' , Date Special Conditions. if any
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
I Park Support Fee
I SAC .
I Water Meter CSi2'€"5~";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
Other
#
#
#
#
TOTAL DUE Cfl1Afi) J.. " 0 ,oS
Paid q 5 ~os ;j?r
Date f)-,,-.~
Receipt No.
By C{
c:;:r-
~Or-lT I~ .~ 0 -rp.\,;""'" ~p.,u...
Tall Wall Worksheet-SouthArn, MN
Snow Load: 35P$F
Dead load: 17 F'SF
Member Number
Mambar Type (olrcle)
1. Mllmber Longths
2. Detennine Deflection Critl!rla
(U180. LJ240, IJ3GO) see Pij. 2
3. DotenTlinQ Effective Wind ARIa
A. ColumnlStud!
(Use Effective Wind AreJl Chert on Pg. 3)
B. Header:
4, Determine Expo$ure: 9, C, D
Exposure remains same for entire wall(P(J3. )
5. Detennlne Wind Pressure(pAf) . -
Use effective wind areas(see 3A or 39)
Use exposure factor(see value In 4)
Use 90 mph speed
See Wall DesIgn WInd Pre~lJre Table (PA 3)
fl. Tribumry widths of wind load on members(ft)
See plcb..1res on Pg 3,5,6,7
· M~ 6" minirrwm to, column lli:z:eJl!l
7. L~tera( Wind loads eln mel1J bers(ptf) .
McJltlply V1IllJe! In 5x I18lues in G
psfx I'l = vIr
8. Roof tributary widths(ft)
~Gable wall use: overhang+1',.
-Eave wall use: Span of Tl'UI.lsasl2+ Overl1ang=
"Roof lead not present on all headers.
I. Vl!J'tIc:tJ JOa,d 'oll COlumn!!:(JtJ$)
~oftrlb(value i118) x lotll roof load (52 psf) x
trlb wldtll(\'alue In B)-
"Polflt loads dlre~v Ort coru~l]_
10. Vertical roof load on Header(plf)
, "roof trib(value in 6) x (total roof load,(52 psf))+
w:all weight:
11. V,.rtie:allosd on stads(lbs)
rtlcf trib{velue in 8)ld.otal roo' load,(52 ~5f) x
lJib width(vt'lJup! In S)=
12. SIze M~bers (Headers-verllY_ Oftrlmmem nlll8dlld)
Columns use lines 1,2.,7,9 to size.
Headers use Ilnes1,2,7,10 to size.
Studs U.ge lInes1,2,7,11 to Qize.
13. Determln~ And rAactlon of members(lbs)
. (Value in 7) x (Ienall1 of member/2)
1.t. ~termine connections
Use conneelion e:hlllrt on Pg 9 (nails or cli~)
to fasten ell headers, columns and SIuda
~ed on reactIon In line 14.
('d 6~6l 'ON
Cef}fennia. / SfC-
IStUd=S Ho.dor'='H Column=C \
.. ~ 1'.~
~P.~$ ~ ~..rr
21 2 "... .I 3 ..- ... I;
(2)C H S C Q:!J seQj) St,g H S C H
1"" rt 4,5 ft 4,5 ft 14 ft ft
~11a.o L"~ LI1'6e". L-Il~
~? ft2 ~\f\ ft2 I-l\to ft2 (.s ff ~
~2 10 tr 10 Ii )e:ff 10 ff
C c L Co
80,4 PSt 22.lepsf ZZ.~ pst '2.0,4 pst
psf
I ' ~ ft. lD.~S fI 2. ft 3.4t. ft.
a~.Mpl'! \'?~ p~ 4"S:Z. Pit: 't7-6'i ptti
ft
Pili
~.5 I.'lft.
ft I'l n
ft ~.1 ft ~,~ 1t!
fl'
lbs
IllS' ~l2. Ibs
IbS
Ibi
plf 45 c1f ~et 011 Ill'
I
I
~4 Ibsl Ib,s Ibs' , Ibt;
2"1. <.e. ' sll=ll~ '1z ~Y1. ,:2/'''- 0) 2.'ttt
. l "?~...,.I.t~ ') (l'UlI41' ~
\,':.,,~"'OJl, \o'~ "'~l.. I."'::l~....~ V'~!..
'1\to.let...",,_.,lr, __.......l 1'i ~ _ "t\~
~'b'!lo '11~~ 1~~(l ~"\'U~ I
\'\'2. Ibs ~ IbIi La t Ibsl-4o,o Ib!l
2)~d 4)'toc:t 2) ~ci O~~
N~II.,-:a ij~\L"=>. ..."",,~ Cu.)-
I 'T'LI.J....t'L \.~,M.~ ~~ ttJD
~.IUAI.~~.
!:lIt
Ib!
Ibs
~38lNnl N~~Al
lAjl19p: II ~OOl '6 '83:1
~v:- :t ~ cs.,Ct- rq'-6 ~A.L.'- ~,-.
Tall Wall Worksheet-South9rn, MN
Snow Load: 3SPSF
Dead Load: '7 PSF
Mambflr Number
Member T)lpa (cin:le)
1. Member Lengths
2. OetermlnQ Doflectlon Criteria
(U180, LJ240, U3!10) see P~. 2
3. Detllrmlne Effective Wind Ate.
A. Column/Stud:
(Use Eff~ivB Wind Area Chart on Pc, !)
B. HMdor:
4. DetermIne Exposure: B. C. 0
Exposure remains Stlme for entire wan(Pg3.)
S. DetermIne Wln., Pressur.[psf}
Use eff9CliV'El wind areas(l;es 31\ or 3E!)
Use exposlJT'e fac\cr(uE! value in 4)
Use 90 mph speed
See Wall Desi.9n Wind Pressure Table (p~ 3)
6. Tributary widths of wind laad an memosB(ft)
Sea pictures on Pg 3.5,6,7
· Add 6" minimum for column si2ellll
-7. Lateral Wind loads on members(plf)
Multiply values in 5 lC values In e
psfx ft = Illf
S. Roof trfbutary wldths(ft)
"Gable. wall use: overnang+1'!::
"Eave wall use: Span of TnJS$1!S/2-1- Overhang-
"Roof load not present on an headers.
9. Vertical '~ad on COIUmns(lbs)
"Roof 1rfb(value In 8) x total roof IoadC5.2 psf) x
(rib wldlh(value In 6)=
"Point toads direcUv on column
10. VertIcal reeF lORd on Hoader(plf)
"roof trib(vaJue in 8) x (\olal roof load,(S2 ps~l+
wall weicht::
11. VertlcaT!oad 011 StudS(lbs)
roof tr1b(\I3Iue in B )xtotal roof loed,(52 p;f) x
trib widlhfvalue in 6\<:
12, Sin MllmbllTll (Headers-vr)n/y ,. of trimmers n<dlld)
Columnt use Ilnes '.2.7,910 5J2:8.
H(!aders use fine.s1,2,7,1 0 to s1ze.
Studs use ~ne$1,2, 7 .11 to size.
13. Datennlne end reaction at rnemb.reOIlS)
(Value in 7) l( (Iang~~ of member(2)
14, Detennine conntetlQns
Usa connection chart on 1=9 9' (n!ils or cITpS)
to faslen all headers, column!: ~"d studs
based on reaction in rine 14.
l 'd 676l 'ON
Istud:S
1tJ>.t.'G.
\\v>'bt.4\-
2 .
S C [!:!)
ft 2,~ f\
t../1~
~
'\'i.'P. ~b.\
1
l.!Jc H
\~
L.1c~
It IS fi2 tt/ h jt2
)(ff 10 ft2
~
e
H.,dOf'l!!H
~'tt-
~~
3
S&JH
l~ fl
Lot \?lQ
ColumnllllC I
(!,,~ WI\Uoo
T'1r ~'Tl>>~
-4 5
5 C H @C H
N 14
,r\
~..s ftz
~
ft2
10 ff /
_fr
10rr
e
No usuolb
I i.o~bI,tJC:C ~,
No,. eJ;C~~
It 2:42 nl
~f ~)
tt \.~ n
20 ,.,. psf '2.1. ,Ie osf 2.a. ~ osf
I..Y\ It t
'21,'~ pI' l:16. J. pit 4Q, ~plr
plf pll
I
~,5 11 ~.$ ft ~,> f\
ft 19 fl
Ibs Ibs 44\ ltlll Ibt Ibs
erf '2~'Z. olf elf olf Dfl
a44 Ibs Ib$. Ibs. IbIS 1~lb!
2.~ vu. ::"'1," "~'Ie. (<i!)Z~~ 2,!lt \.3E
fi,J)."Q.t... (?~~") I.~," \:~. ~1~"'O.c....
T..... '.'!II. L~1. ~vi:ll~ ,-;~,
~~ i.~. ~~
.J9.UP1 \<\~ Ibs -:rso ltls Ibs lbll
Z)11D4 ~IL..A (t),) I '-.d
Nr.1"~ ~~
N.~L$ 1-~
\24Q1I18Io6
~38~nl NWJA 1
~NLt: (l ~OOl '6 'S3i
":c"
~
White - Building
~narv - I::nqlneerlng')
Pink . - ~Iajffijng
The CE'ntcor of Ih~ l..k~ ('ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
./ l i,'
C L- 6/::... -'~:
APPLICATION RECEIVED
/ ..:;.,- I
/. [-.
L./ -"'_
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
,..,....
[, /i// ~,.;.:-t: t-, / /-1 L-- ,:~.=-~/ /c~~ {~E ~:/ -~:;, t: .
Accepted
)(
Accepted With Corrections
Denied
Reviewed'By:
,~
Date:
;;, -10 -(J~
Comments: See R~versp- Side for Additional Information!
See Attachments: 1) Gradine Plan. 2) Erosion Control Measures
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the prbvisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
White - Building
Canary - Engineering
c;ei~k - Plan~
Tht> C"f'nlt"f or Ihe LakE' Counll")'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~.
Accepted
Accepted With Corrections
/
Denied
Reviewed By:
~
~~
Date:
~/());'>
, f
Comments: . Df' "'l."~D .sL~
. ~ be; ~(~ Co~
.~,...~~-
~~~rh-
<J
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
rhE' ('fnlfr nf the L.ke COUnlF1
<;ib.ite - Buildfii9::>
Canary - Engmeering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/Ie-cess I3UIf..;Ot5,P c:
I. 27. OS
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5358 (!.,eNlbNA//AL- ~//Ze:::..1 5.6.
Accepted
Accepted With Corrections
~
Denied
Reviewed By: ~ ?~ Date: ~/3/6S-
Comments: ,(i~ a.L..f ~. ~: ~
(l~~A'~L ~ 7"~ ~~
~ ~ -kl~,~~~"~-
~ ~ ~~,
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
L Pink File PERMIT NO
2. Green City . ~ _ II / ,"
3. Yellow Applicant ~ f?/
(Please type or print and sign at bottom)
ADDRESS
.:: 3 5' ~ C- en -t-enr.. i t\.. (
ZONING (office use)
S4-. S'~
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
&'::e~R A ~~e 5S ~~~ \d~~ ')
(Phone)
(Address)
APPLICANT{\, "" \ \ \
(Name) V-\. \ 'C ~ L S '\-\.-QA '-\-l N q ~
. .J
(Address) \ l ~ III () ., :~ \ ( 'I '-\-lty S -t-
(Address)
(Contact Person) &~ C-. \Aj: \ ~
APPLICANT SIGNATURE (/V;.^ 01",(1)/\
(Phone) C\ ~;:}.. -, C);g - 700 '3
Y'\.f -.e_L~ (Jt<- 4.J~ 1.<-- If! 111 A1 'J l....ct1 I
(City) , I" (Zip Code)
. (Phone) S. Atv-\ c;;--
{-.J /y- ""...
DATE ,- d'~ 'ct ~
" APPLICANT PLEASE COMPLETE BELOW
. ~EW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKEAJD MODEL b~-Q, G- 3 7<:;' '-C f -RP1i1h V FUEL _ GA--S
FLUE SIZE ~.IJ flJ G RETURN OPENINGS INPUT IS JedQ OUTPUT (.,9{1()()
TYPE OF SYSTEM HEATING OR POWER PLANT
-BJ.W~ Air Plants
OOravlty
c:LMechanical
4:1Air Conditioning
OVent. System
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $ Building Permit #
4)-II(~)
REA TING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
.50
/ !\){'.
L~cJV\ r
Paid
Receipt No.
Date
By
~
Date
.
24 hournotice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
.f,"21, (i)
(Please type or print and sign at bottom)
ADDRESS
~:~ ~!~ PERMIT NO. OS. all ~
3. Yellow Applicant
,53sr
(!6.N/c-(\/Nlrrz-, Sf.
ZONING (office use)
ICr
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION
OWNER
(Name)
(Address)
APPLICANT II j,,, . . 1
(Name) Ii-I1.L tJ fI tJ '}..- -? /o.j .
(Address) {JO/ le...t'c- ,D"'1...,
(Address)
7-~ c../ A t~ 6P6'L.
--ru~ ~~/~');
~
(Contact Person)
APPLICANT SIGNATURE
Quantity
~
I
,
':)
I
':J-.
PID zC": 7.Y7. (.Jt?1. 0
(Phone)
(Phone) 7J"d--- 7 j ~t ~ ~. ;) 6 .J
J)c-tJ #;J..(lil.--<-. Sbp7/
(CIty) V (Zip Code)
(Phone) :9J;} - .'.) 7J "- <IV IJ
DATE %>/&J-
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (lor 2 compartment sink
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
Type of Fixture
Quantity
6J? /
~ i
Vfi
r
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backtlow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
II
FEE SCHEDULE
Industrial, Commercial & Multi-family 1 % of job cost with a $39.50 minimum
(Office Use Only)
Estimated Cost $
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.5~
BUild;:" Pennil # 0 t;. (1/1 (, P f1l 0 rJ 0 tJZ---
~ .50 e tJ I V
p~
Datt;.L ~ t< 0 C-
..,- f ~ 1.;;
R~
By
This Application Becomes Your Building Permit When Approved
Building Official
Date
~/fW
I
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
(Please tTPe or priat IIIId sian at r .', I".. I)
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERu'lCATE OF WNING COMPLIANCE.
AND lJ I u...ITY CONNE\...IION PERMIT
Date Rec'd
0. 21 tJ~
I. Whil. File I PERMI
2. Pink Ci.y T NO. AI c::-' _ A /..J ./
1 Yellow Applico.. "" oJ CJVI h
AvuAESS
') ~5~ (~+f>Ylf-)j'<A,) 7{-/ S5 ~
(7 r J~!~
LOT
BLOCK
LEGAL DESCRu uON (office use only)
/riJJ
PID).5 3g raO I 0
ADDITION 0(/,,1/ hp1s( ~
~=~( e~~ Co J P()JG( ~ ~~ (phone) r; I) - ;)-BJ- w)-l.{J..-0
(Address) 1C~s l?,l.t4-" ~)qiope~ /'1)/ s-S 17f &(~ -964 --GtJS(
. ~~~:NameLLAeJ5 ~5~ i, ~(QUc,j,;/\ (phone) 95)-,)/'tJ, ~ C;~bL/
(Contact Name) e -€-.. \ ~f> / <; (Phone) \, //
(Address)/X/;)t Xc/hi L."",,,~./i.,./) ~ ~SS3IL(c.:# 17"1.17;l./IS~
n-r---- . S~er ~ WG W
TYPE OF WORK 0 New Construction ODecki Dporch ORe.Roofing ORe.Siding OLower Level Fimsh 0 Fireplace
OAddition OAlteration CfUtility Connection 0 Misc.
CODE: OI.R.C. OI,B.C.
Type of Coastnu:tion: I
Occupancy c... ",": A B E
Db'i.ion:
n mIVVAB
F HI MRSU
I 2 3 4 5
PRomCf COST/VALUE S
(excluding land)
ZONING (oftier use)
/{~ .~~
1 hereby certifY Ihall haw furnished informa' on Ihis application which is 10 lhe best of my knowledac true and com:ct. I also certify that I am lhe owner or authonzed agent for Ihe
above-mml1oned r..r...J and that . will C..").,, 10 aU existing stale and local laws and wiII.......J in accordance with submitted plans. 1 am aware that rhe building
;~al can revoke this .. urlh.......:.., I hereby as= thatlhe city official or ~(;e~Y?er /jOZ/ ~... to perform neG iiZ~~
/ ignature V Contractor's License No. DaIl:
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
M~cal Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
s
s
s
s
s
s
s
s
I Park Support Fee
I SAC
I WaterMeter SizeS/S";I";
Pressure Reducer
Sewer/Water Connection Fee
I Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
##
#
#
##
This Application B ...... .,.1 YourBuildq Permit WhenA.1" " e.
Buildinl!. Official
Paid
Date
ReceiPt No.
Bv
Dale
s
s
s
s
s
s
s
s
s
ThIS IS to certify .hat the request in the above application and ao.. ..anying documents is in accordance with the City Zoning Ordinance and may r.....J as requested. This document
when signed by the City Planner constitutes a . ....r ....ry Certificate of Zoning compliance and aUows construCtion to .. " .!ICe. kfore occupancy. a Certirlcalc of Occupancy must be!
issued
Plamlinl D:. ....
Date Special CoIIditiom. if 811)'
24 hour noticr for all inspections (~2) 447.98!oO. fax (~2) 447..aU!!
16200 Eagle Creek Avenue Prior Lake. MN 55372
PR 10 R LA KE DEPARTMENT OF
BU(lOING AND INSPECTION
INSPECTION RECORD
.
SITE ADDRESS ~ CINlElVAI1AL Sr:. s,G,
NATURE OF WORK ~ Cf,/'U.".Jttcr1-'M
USE OF BUILDING .... ~ ~. _
PERMIT NO. 05.0 II 0 DATE ISSUED Z. tJS
CONTRACTOR MalIS ~.~. PHO -21(14
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
/J;1R
, DATE/
I / /;;;;.. / c:!s
; ;;
FOUNDATION (Prior to Backfill) I ~~ I -?///oS-
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS, .
~~:~I~~WA~l~~IC~,":~~ ~~ hf~;-
INSULATION ~ ~_I/I/ ~g-'
ELECTRICAL /, / if I z.) )>5"
PLUMBING 1-!~)V4/ 8) //4 417h; ~ ~7?~s-
HEATING (if required) / M4- ~/.l /oSr
FIREPLACE f //LJ I . _
GASLlNEAIRTEST,t;;/t hr:I'.~~ r 7# ~ ~ /2?~5
" COVER NO W6'RK' UNTIL ;ABO/VE HAS ~E,EN SIGN-ED
1I$,IAJ/fAII I I//w JttI ;1.21#51 /1 j
~rU<-e' t:S o.,-ht-"s-~ed FINA'LS c:;:";/,4....,--A/~~/ocl~tk~!<
. GRADING (Prior to Sodding), I /itt<- /hf/{~. 6 /
BUILDING7~AIo?.t1, e~ C/,.,~y ?kJ(r ~ ~~ ~~6
ELECTRICAL I '~ ~ '2-zt ~
, If ."
PLUMBING /Lbf 6/~z~~ s
HEATING $~/ 6;!'.z7C~; .
DO NOT OCCUpy UNTIL ABOVEl:rt;; BI7FN ~IGN~~ / j
NOT ICE ';,y 710 P~y / --5 {5YC- tc-e
This card must be posted near an electrical service ca inet prior to rough-in inspections
and maintained until all inspections have been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
FOOTING
FOR ALL P .,....'r:CTION~ (952) 447-9850
QIerfifitttfe nf Qf)ttupttnty
CITY OF PRIOR LAKE
~tpartmtnt nf ~uil~ing JInsptttinn
Jf(Final Permitted D Conditional C.O. Expires
/
This Certificate issued pursuant to the requirements of Section 110 of the D Residential / D International
Building Code certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City of Prior Lake regulating building construction or use. For the following: .
SINGLE FAMILY 05-0116
Use Classification Bldg. Permit No.
Occupancy Type
R3
VN
Zoning District
R1
Legal Description
Type Construction
L1, B1, GARY MATSON ADDITION
5358 CENTENNIAL STREET S.E.
Owner of Building _ Site Address
Contractor's Name & AddressACCESS BUILDERS ,gORP., 2685 133RD ST,. SHAKOPEE, MN 55379
ROBERT D. HUTCHINS "./..If;'..Pt/' JANE KANSIER
~ r City Planner
':J../.. Buijllfng Official '
Date: .-cv<f/(}r;' Date:
/ ,,' -
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~
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
Z,..lJd
ADDRESS
S'3S1< c~~/t~"( I ~I
OWNER
CONTR.
PHONE NO.
PERMIT NO.
~--II'
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~ILLING
"DC~INT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
br.k - t1l K:-
~
&>.J...rJ~
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
IltSliOTl
ADDRESS
SJS~
DATE TIME
SCHEDULED ~~
~~Ie,;e#~::e/ (j~
---
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
~s---//~
o FOOTING
o FOUNDATION
o FRAMING
~TION
~~~~~~.., '
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
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o WORK SATISFACTORY, PROCEED
~ORRECT ACTION AND PROCEED
/ 0 ~ORRECT WO.z,~A~~INSPECTION BEFORE COVERING
Inspector: ~ r Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl
DATE
#~
\ <\3S~ a~~~h/~/ S~
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
..Jii'FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
/"
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TIME
s- //~
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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/WORKSATI~PROCEED ~
/~ORRECT ACTION AND PROCEED
o CORRECT WO~K7~l},~ REINSPECTION BEFORE COVERING
Inspector: ~ Iowner/Contr:
, ...
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH cl SAFETY!
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
@
TIME
0/2~-
&h4H~l~/ ~
DATE
SCHEDULED
ADDRESS
g~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
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o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
.,....aa r1l4~
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
...,a}5lUMBING FINAL
~CH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMEN;5: , .--:,. /
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o WORK SATISFACTORY, PROCEED ./""': /'
o CORRECT ACTION AND PROCEED L t::7pt7r
~ORRECT WORK, CALL F R REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSliOTl